Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.59 / $644.87 / $5,412.00	Facility		$90.59	$644.87	$5,412.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $937.49 / $937.49 / $937.49	Facility	50	$937.49	$937.49	$937.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.59 / $108.58 / $194.33	Professional		$57.59	$108.58	$194.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $174.63 / $174.63 / $174.63	Professional	50	$174.63	$174.63	$174.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $60.92 / $101.69	Professional		$47.63	$60.92	$101.69
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $71.45 / $91.38 / $152.54	Professional	50	$71.45	$91.38	$152.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $65.17 / $822.00	Professional		$60.34	$65.17	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $87.90 / $420.00	Facility		$87.90	$87.90	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $114.84 / $201.41	Professional		$57.97	$114.84	$201.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.53 / $139.15 / $164.45	Professional		$107.53	$139.15	$164.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.18 / $125.31 / $211.38	Facility		$60.18	$125.31	$211.38
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $181.38 / $265.50 / $496.62	Facility	50	$181.38	$265.50	$496.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $161.00 / $197.00	Professional		$143.00	$161.00	$197.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.63 / $81.00 / $497.78	Facility		$52.63	$81.00	$497.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $110.06 / $155.33 / $508.25	Professional		$110.06	$155.33	$508.25
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $819.00 / $2,364.00	Facility		$206.00	$819.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $137.91 / $218.48	Professional		$84.13	$137.91	$218.48